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Individual

D ROSS MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
8140 N MOPAC 2 200, AUSTIN, TX 78759
(512) 346-2332
(512) 346-2284
Mailing address
8140 N MOPAC 2 200, AUSTIN, TX 78759
(512) 346-2332
(512) 346-2284

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2393
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
033174601
TX
Enumeration date
08/18/2006
Last updated
07/08/2010
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